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1710341391
SAMANTHA ELLIS
TIGARD, OR
NPI
1710341391
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133NN1002X Nutritionist Nutrition, Education
Enumeration Date
2016-04-08
Last Update Date
2016-04-08
Business Address
SAMANTHA ELLIS
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number: 505-726-3740
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Mailing Address
SAMANTHA ELLIS
8915 SW CENTER ST
TIGARD, OR 97223-6307
Phone number:
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